Katherine Martin Dougherty, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05569 Issued in MD

Practice address

38 Pennydog CT
Silver Spring, MD 20902-4168

Phone

(301) 681-7224

Fax

(301) 681-7224

NPI assigned

Oct 27, 2005

Last updated

Feb 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1942290234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PENNYDOG CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024168",
            "telephone_number": "301-681-7224",
            "fax_number": "301-681-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 PENNYDOG CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024168",
            "telephone_number": "301-681-7224",
            "fax_number": "301-681-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "KATHERINE",
        "middle_name": "MARTIN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118631100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PRIVIDER NUMBER",
            "identifier": "16793500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "A2960001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010110947",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrestall Dorsett Jr., M.D.,M.B.A.
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• Weberlyn Dossen
• Solange Dossou
• Dotrim, LLC (doctrim primary care)
• Desire Agobet Douglas
• Kenita Kayela Douglas
• Stephanie Marie Douglas, AU.D.
• Helene Dounwou
• Raven Dowd

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.